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Ann Thorac Surg 1999;68:1971-1973
© 1999 The Society of Thoracic Surgeons


II. Surgical Myocardial Protection

Protection in the failing heart

Irving L. Kron, MDa

a Department of Surgery, University of Virginia School of Medicine, Charlottesville, Virginia, USA

Address reprint requests to Dr Kron, Department of Surgery, University of Virginia Medical Center, Box 310, Charlottesville, VA 22908
e-mail: ikron{at}virginia.edu

Presented at the International Symposium on Myocardial Protection From Surgical Ischemic-Reperfusion Injury, Asheville, NC, Sep 21–24, 1997.

Abstract

Myocardial protection for surgical procedures on the failing heart can be broken down into three areas. The first area involves selection of the appropriate patient with enough myocardial viability and contractile reserve to permit a substantial cross-clamp time. Secondly, there should be adequate targets to revascularize or adequate tissue for reparative surgery. Thirdly, and most importantly, antegrade and retrograde blood cardioplegia given in sufficient amounts to satisfy myocardial oxygen needs is of prime importance.




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